Quality of life in school-age children with shunt implantation due to neonatal posthemorrhagic hydrocephalus
- PDF / 305,977 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 12 Downloads / 188 Views
ORIGINAL ARTICLE
Quality of life in school-age children with shunt implantation due to neonatal posthemorrhagic hydrocephalus Sara Iglesias 1 & Bienvenido Ros 1 & Angela Ros 1 & Antonio Selfa 1 & Jorge Linares 1 & Francisca Rius 2 & Miguel Angel Arráez 1 Received: 17 August 2020 / Accepted: 23 October 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose To assess the functional outcome in school-age children shunted in the neonatal period due to post-hemorrhagic hydrocephalus (PHH), using the HOQ-Spanish version (HOQ-sv), and to analyze predictors of quality of life in this group. Methods A cross-sectional study was performed between 2015 and 2018. Parents of pediatric patients with PHH attending our neurosurgery outpatient clinic were invited to complete the HOQ-sv and to enroll in the study. Clinical variables regarding the patients’ neonatal course and surgical outcome were recorded. A descriptive analysis was done, and independent variables related to the HOQ scores were studied in univariate and multivariate analyses with regression trees. Results The study comprised a total of 52 patients. The mean overall HOQ score was 0.67 (on a scale from 0 [worse] to 1 [best]). The quality of life for the PHH children at school age was related to perinatal factors (gestational age at birth, time until shunt surgery, length of hospitalization at the time of shunt implantation, and comorbidity), shunt complications (symptomatic overdrainage, number of shunt revisions, and shunt revisions related to infection during the first year after treatment), and clinical background (seizures, spasticity, Gross Motor Function Classification System level or visual impairment). Conclusion HOQ dimension scores in school-age children shunted due to PHH in our center were similar to those of referral centers for other etiologies of pediatric hydrocephalus. Future goals should be the prevention of complications related to worse outcomes at the time of diagnosis and to try to improve shunt performance later. Keywords Functional outcome . Surgical outcome . Hydrocephalus Outcome Questionnaire . Pediatric post-hemorrhagic hydrocephalus . Prematurity . Health
Introduction Improved survival of extremely low-birth-weight infants has increased the risk of intraventricular hemorrhage, with an overall incidence of 7–30% [1, 2]. Of these patients, 25–50% will develop post-hemorrhagic hydrocephalus (PHH) and 15–40% will require a shunt [1, 2, 13]. In 2008, Adams-Chapman et al. suggested that extremely low-birth-weight children with severe intraventricular hemorrhage requiring shunt insertion were at greatest risk for adverse neurodevelopmental and growth
* Sara Iglesias [email protected] 1
Department of Neurosurgery, Hospital Regional Universitario de Málaga, Avenida de Carlos Haya s/n, 29010 Malaga, Spain
2
Statistics Department, Universidad de Málaga, Malaga, Spain
outcomes at 18 to 22 months compared to children with and without severe intraventricular hemorrhage and with no shunt [1]. In 2019, Gigi et al. al
Data Loading...
